PMID- 10383749 OWN - NLM STAT- MEDLINE DCOM- 19990713 LR - 20041117 IS - 0022-202X (Print) IS - 0022-202X (Linking) VI - 112 IP - 6 DP - 1999 Jun TI - Allelic heterogeneity of dominant and recessive COL7A1 mutations underlying epidermolysis bullosa pruriginosa. PG - 984-7 AB - The inherited mechanobullous disease, dystrophic epidermolysis bullosa, is caused by type VII collagen gene (COL7A1) mutations. We studied six unrelated patients with a distinct clinical subtype of this disease, epidermolysis bullosa pruriginosa, characterized by pruritus, excoriated prurigo nodules, and skin fragility. Mutation analysis using polymerase chain reaction amplification of genomic DNA, heteroduplex analysis and direct nucleotide sequencing demonstrated pathogenetic COL7A1 mutations in each case. Four patients had a glycine substitution mutation on one COL7A1 allele (G1791E, G2242R, G2369S, and G2713R), a fifth was a compound heterozygote for a splice site mutation (5532 + 1G-to-A) and a single base pair deletion (7786delG), and a sixth patient was heterozygous for an out-of-frame deletion mutation (6863del16). This study shows that the molecular pathology in patients with the distinctive clinical features of epidermolysis bullosa pruriginosa is heterogeneous and suggests that other factors, in addition to the inherent COL7A1 mutation(s), may be responsible for an epidermolysis bullosa pruriginosa phenotype. FAU - Mellerio, J E AU - Mellerio JE AD - Department of Cell and Molecular Pathology, St John's Institute of Dermatology (The Guy's, King's College and St Thomas' Hospitals' Medical School), London, UK. FAU - Ashton, G H AU - Ashton GH FAU - Mohammedi, R AU - Mohammedi R FAU - Lyon, C C AU - Lyon CC FAU - Kirby, B AU - Kirby B FAU - Harman, K E AU - Harman KE FAU - Salas-Alanis, J C AU - Salas-Alanis JC FAU - Atherton, D J AU - Atherton DJ FAU - Harrison, P V AU - Harrison PV FAU - Griffiths, W A AU - Griffiths WA FAU - Black, M M AU - Black MM FAU - Eady, R A AU - Eady RA FAU - McGrath, J A AU - McGrath JA LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Invest Dermatol JT - The Journal of investigative dermatology JID - 0426720 RN - 9007-34-5 (Collagen) SB - IM MH - Adolescent MH - Adult MH - Alleles MH - Base Pairing MH - Collagen/*genetics MH - Epidermolysis Bullosa Dystrophica/*genetics MH - Exons MH - Female MH - Genetic Heterogeneity MH - Genotype MH - Humans MH - Male MH - Mutation MH - Point Mutation MH - Polymerase Chain Reaction MH - Pruritus/genetics MH - Restriction Mapping EDAT- 1999/06/26 00:00 MHDA- 1999/06/26 00:01 CRDT- 1999/06/26 00:00 PHST- 1999/06/26 00:00 [pubmed] PHST- 1999/06/26 00:01 [medline] PHST- 1999/06/26 00:00 [entrez] AID - S0022-202X(15)40518-4 [pii] AID - 10.1046/j.1523-1747.1999.00614.x [doi] PST - ppublish SO - J Invest Dermatol. 1999 Jun;112(6):984-7. doi: 10.1046/j.1523-1747.1999.00614.x.